PMID- 14684148 OWN - NLM STAT- MEDLINE DCOM- 20040923 LR - 20191108 IS - 0268-960X (Print) IS - 0268-960X (Linking) VI - 18 IP - 1 DP - 2004 Mar TI - The therapy of relapsed acute leukaemia in adults. PG - 39-63 AB - Although the cure of acute leukaemia has improved significantly, many patients will still relapse and die. The unraveling of the molecular pathogenesis of acute leukaemia has lead to the identification of new prognostic factors and improved the detection of minimal residual disease. The treatment of relapsed acute leukaemia with chemotherapy remains unsatisfactory. Allogeneic or autologous blood and marrow transplant (BMT) can cure a subset of patients with relapsed acute leukaemia. The identification of the graft-vs-leukaemia (GVL) effect has lead to the development of donor lymphocyte infusions to re-induce remission in patients with relapsed leukaemia after allogeneic BMT and also stimulated the development of the less toxic nonmyeloablative allogeneic transplant approach. The identification of molecular targets of therapy and the development of monoclonal antibody-directed therapy has generated optimism. It is possible that combinations of chemotherapy, molecularly directed therapy, and immunotherapy may be combined to cure an increasing proportion of patients with acute leukaemia. FAU - Litzow, Mark R AU - Litzow MR AD - Division of Hematology, Mayo Clinic and Mayo Medical School, 200 First Streeet, SW, Rochester, MN 55905, USA. litzow.mark@mayo.edu LA - eng PT - Journal Article PT - Review PL - England TA - Blood Rev JT - Blood reviews JID - 8708558 SB - IM MH - Acute Disease MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Drug Delivery Systems MH - Hematopoietic Stem Cell Transplantation MH - Humans MH - Immunotherapy MH - Leukemia/genetics/*therapy MH - Prognosis MH - Recurrence MH - Salvage Therapy/*methods RF - 275 EDAT- 2003/12/20 05:00 MHDA- 2004/09/24 05:00 CRDT- 2003/12/20 05:00 PHST- 2003/12/20 05:00 [pubmed] PHST- 2004/09/24 05:00 [medline] PHST- 2003/12/20 05:00 [entrez] AID - S0268960X03000365 [pii] AID - 10.1016/s0268-960x(03)00036-5 [doi] PST - ppublish SO - Blood Rev. 2004 Mar;18(1):39-63. doi: 10.1016/s0268-960x(03)00036-5.